外科手术切口感染的危险因素分析及手术室护理对策

作者单位:112000 辽宁 铁岭,铁岭市中心医院手术室

 感染;切口;护理;手术室;外科;对策

Analysis of Risk Factors of Surgical Incision Infection and Related Nursing Strategies in Operating Room
ZHANG Dahai

(Operating room, Tieling Central Hospital, Tieling 112000, Liaoning Province, China)

 Infection; Incision; Nursing; Operating Room; Surgery; Countermeasures

DOI: 10.3969/j.issn.1672-7185.2020.02.020

备注

 目的  探讨切口感染的相关因素,从手术室护理角度提出护理对策。方法  回顾性收集铁岭市中心医院2012—2018年收治的外科病例734例,分为未感染组652例及感染组82例,比较两组患者的一般信息、手术情况及手术环境,对导致切口感染的危险因素进行分析。结果  单因素分析显示,切口长度、手术时间、手术时序、手术性质、手术室条件是切口感染的危险因素( P<0.05)。多因素分析显示,手术时间、手术时序、手术性质、手术室条件是切口感染的危险因素(P<0.05)。结论  应针对容易导致手术切口感染的危险因素采取有针对性的护理措施,以期降低其发生风险。
 Objective  To explore the related factors of incision infection and put forward nursing countermeasures from the perspective of operating room nursing. Methods  A total of 734 surgical cases in our hospital from 2012 to 2018 were collected and divided into uninfected group (652 cases) and infected group (82 cases). The general information, operation condition and operation environment of the two groups were compared and the risk factors of incision infection were analyzed. Results  Univariate analysis showed that incision length, operation time, operation sequence, operation nature and operating room conditions were the risk factors of incision infection (P<0.05). Multivariate analysis showed that operation time, operation time sequence, operation nature and operating room conditions were the risk factors of incision infection (P<0.05). Conclusion  The targeted nursing measures should be taken to reduce the risk of surgical incision infection.